APPLICATION FORM FOR MIGRATION CERTIFICATE BOARD OF SECONDARY EDUCATION, ORISSA, CUTTACK Government of Orissa (THE CANDIDATE IS TO RECEIVE HIS CERTIFICATE FROM THE SCHOOL) 1. Name of the candidate 2. Father's Name 3. Roll No 4. Year of Passing the Examination ANNUAL SUPPL. 5. Name of the School 6. Name of the Centre 7. Purpose 8. Amount Paid 9. Date of Deposit 10. Mode of Deposit (Furnish B.D / C.R Number) POSTAL ADDRESS OF THE CANDIDATE Signature of the Candidate Date Rs. /- P.S.:- Fee for the migration Certificate is Rs.75/- Published on National Portal of India (india.gov.in) Department of School & Mass Education RECOMMENDATION OF THE HEADMASTER/HEADMISTRESS Memo No. Date This is to certify that Sri/Smt. bearing Roll No. of H.S.C Examination . 20 Annual/ Supplementary was a student of this school passed the examination as a candidate was placed in the Division. I recommended for issue of a Migration Certificate to the candidate for his/her study else where. His/Her date of birth as per the Admission Register of the School is FULL POSTAL ADDRESS OF THE SCHOOL Signature of the Headmaster/ Headmistress with seal of the School. Date For Office Use Issued Vide Disposal No. Signature of the Dealing Asst. Section Officer Date Published on National Portal of India (india.gov.in) Regular/ Ex-regular
